ࡱ>  bjbj 4zPZ b[[[UWWWWWW$!n${[[[[[{ [ U[U\;*evA* 0Z %|%%h[[[[[[[{{W[[[Z [[[[%[[[[[[[[[ : Personal Care AssistantTasks assigned to this position may involve potential and/or direct exposure to blood, body fluids, infectious diseases, air contaminants, and hazardous chemicals.Name: _______________________________Date of Hire: _______________________________Department Assigned: _________________Supervisor: ________________________________Shift Assigned: _______________________Duty Hours: _______________________________Purpose of Your Job PositionThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the residents assessment and plan of care, and as may be directed by your supervisors.Delegation of AuthorityAs a Personal Care Assistant you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.Job FunctionsEvery effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.Miscellaneous Information Information explaining the Essential Functions, Safety Factors, and the Competency Evaluation columns, as well as the Risk Exposure Category legend is provided in the Job Position Analysis Information section located on the last page of this job description. (Note: The number assigned to each individual column corresponds to that same number in the  Analysis section.)Risk Exposure Potential to Blood and/or Body FluidsEssential Function ( =NO)Safety FactorsCompetency EvaluationFunction Requires Repetitive Motion ( = YES)MINIMUM Weight Lifting Requirements Apply to Task ( = YES)Function Requires Prolonged Sitting, Standing, Bending, etc. ( = YES)Performs Function Satisfactorily ( = NO)Needs In-Service Training ( = YES)Duties and ResponsibilitiesAdministrative Functions(1)(2)(3)(4)(5)(6)(7)Identify residents before administering treatments, serving meals, etc., as necessary.2Perform duties in accordance with policies and procedures initiated by the facility. 1Use only authorized abbreviations established by this facility when recording information.3Report all changes in the residents condition to the Nurse Consultant, Social Service Director or the Medication Aide. 3Report all accidents and incidents you observe to the Medication Aide, Social Service Director or the Nurse Consultant. 2Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.3 Duties and Responsibilities (continued) Risk Exposure to Blood/Body FluidsEssential FunctionRepetitive MotionWeight Lifting RequirementsProlonged Sitting, Standing, Bending, etc.Performs Function SatisfactorilyNeeds TrainingAgree not to disclose residents protected health information and promptly report suspected or known violations of such disclosure to the Administrator.3Arrive at work on time. Assist medication aides with duties that they have not completed. 2 Admission, Transfer, and Discharge Functions (1)(2)(3)(4)(5)(6)(7)Helps residents if they need assistance with Admission, Transfer or Discharge. 3Ensure that the residents room is ready for receiving the resident prior to admission. 3Greet residents and escort them to their room. 3Personnel FunctionsPerform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.2 XFollow work assignments, and/or work schedules in completing and performing your assigned tasks.3 XCooperate with inter-departmental personnel, as well as other facility personnel to ensure services can be adequately maintained to meet the needs of the residents.3XCreate and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.3Neat and Clean in appearance according to dress code. 3Report all complaints and grievances made by the resident.3Notify the facility when you will be late or absent from work.3Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.3Report known or suspected incidents of fraud to the Administrator.3 Personal Nursing Care Functions (1)(2)(3)(4)(5)(6)(7)Participate in and receive the nursing report upon reporting for duty.3Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).3Assist residents with bath functions (i.e., bed bath, tub or shower bath, etc.) as directed.3XAnswers pagers promptly and take care of residents needs as quickly as possible. 1X Duties and Responsibilities (continued) Risk Exposure to Blood/Body FluidsEssential FunctionRepetitive MotionWeight Lifting RequirementsProlonged Sitting, Standing, Bending, etc.Performs Function SatisfactorilyNeeds TrainingChange bed linens. Keep linens tight to avoid wrinkles from forming under the resident.2Make beds.2Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).2Assist residents with dressing/undressing as necessary.2XAssist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).2Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.)2Assist male residents to shave. 2Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed.2Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).1XAnswer resident calls as promptly as feasible.2Weigh and measure residents as instructed.2Measure and record temperatures, pulse, and respirations (TPRs), as instructed.2Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.3XBe able to utilize a Hoyer lift or EZ Stand when necessary to transfer residents.3XAssist residents to walk with or without self-help devices as instructed.2Perform restorative and rehabilitative procedures as instructed.3XCheck each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes and care plan.2Ensure that residents who are unable to call for help are checked frequently.3Assist with the care of the dying resident.2XProvide post-mortem care as instructed.2Maintain intake and output records as instructed.1Keep incontinent residents clean and dry.1XCheck and report bowel movements and character of stools as instructed.1Collect specimens as instructed (i.e., urine, sputum, stools, etc.).1Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).3Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.)As directed by supervisor.1 Special Nursing Care Functions Risk Exposure to Blood/Body FluidsEssential FunctionRepetitive MotionWeight Lifting RequirementsProlonged Sitting, Standing, Bending, etc.Performs Function SatisfactorilyNeeds TrainingObserve and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).2Report injuries of an unknown source, including skin tears.3Provide daily indwelling catheter care.1Provide daily perineal care.1 Food Service Functions (1)(2)(3)(4)(5)(6)(7)Prepare residents for meals.2Serve meals and drinks to residents. 2Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).2Know dietary needs and assist residents with diet as necessary3Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).3Clean kitchen and dining room after each meal and prepare for the next meal. 2Staff DevelopmentAttend and participate in scheduled training and educational classes.3Attend and participate in scheduled orientation programs and activities.3Attend and participate in facility in-service training programs as instructed.3Safety and SanitationParticipate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.3Wash hands before and after performing any service for the resident.3Keep the nurses call system within easy reach of the resident.3Immediately notify the Medication Aide &/or Social Service Director of any resident leaving/missing from the facility.3Follow established safety precautions in the performance of all duties.3Keep floors dry. Clean up spills immediately.2Wash wheelchairs, walkers, etc., as instructed.2Perform routine housekeeping duties. 2Follow established fire safety policies and procedures.3Ensure that assigned work areas are maintained in a clean, safe, comfortable, and attractive manner.3Keep work/assignment areas free of hazardous objects such as protruding mop/broom handles, unnecessary equipment, supplies, etc.3 Duties and Responsibilities (continued) Risk Exposure to Blood/Body FluidsEssential FunctionRepetitive MotionWeight Lifting RequirementsProlonged Sitting, Standing, Bending, etc.Performs Function SatisfactorilyNeeds TrainingFollow established policies governing the use of labels and MSDSs.3Report all safety violations.3Report missing/illegible labels and MSDSs to your supervisor.3Before leaving work area for breaks, or at the end of the workday, store all tools, equipment, and supplies.3Report all hazardous conditions and equipment to the Medication Aide or Nurse Consultant. 3Housekeeping Services(1)(2)(3)(4)(5)(6)(7)Perform day-to-day housekeeping functions as assigned.3Perform specific tasks in accordance with daily work assignments.3Clean/polish furnishings, fixtures, ledges, room heating/cooling units, etc., in resident rooms, recreational areas, etc., daily as instructed.2Clean, wash, sanitize, and/or polish bathroom fixtures. Ensure that water marks are removed from fixtures.2Clean windows/mirrors in resident rooms, recreational areas, bathrooms, and entrance/exit ways.2Clean floors, to include sweeping, dusting, damp/wet mopping, disinfecting, etc. (NOTE: Ensure that appropriate caution/safety signs are properly set up prior to performing such duties.)2Clean carpets, to include vacuuming, deodorizing, and disinfecting.2Clean walls and ceilings by washing, wiping, dusting, spot cleaning, disinfecting, deodorizing, etc.2Remove dirt, dust, grease, film, etc., from surfaces using proper cleaning/disinfecting solutions.2Clean hallways, stairways, and elevators.2Discard waste/trash into proper containers and reline trash receptacle with plastic liner.2Clean vacant rooms as assigned.3Ensure that work/assignment areas are clean and that equipment, tools, supplies, etc., are properly stored at all times, as well as before leaving such areas for breaks, meal times, and end of the work day.2Perform Residents Laundry as directed and needed1Equipment and Supply FunctionsInform the Medication Aide or Nurse Consultant of your equipment and supply needs.3 Care Functions (1)(2)(3)(4)(5)(6)(7)Inform the Nurse Consultant, Medication Aide or Social Service Coordinator of any changes in the residents condition.3Resident RightsMaintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.3Ensure that you treat all residents fairly, and with kindness, dignity, and respect.2Ensure that all nursing care is provided in privacy.2Knock before entering the residents apartment.3Report all grievances and complaints made by the resident to the Nurse Consultant or Social Service Coordinator.3Report all allegations of resident abuse and/or misappropriation of resident property.2Honor the residents refusal of treatment request. Report such requests to your supervisor.3 Working Conditions Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with personnel and other department personnel. Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education No minimum education required other than those required by the State. Specific Requirements Must be able to read, write, speak, and understand the English language. Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must possess the ability and willingness to work harmoniously with other personnel. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a residents condition. Must not pose a direct threat to the health and safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 50pounds to a minimum height of 4 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 20 feet. May be necessary to assist in the evacuation of residents during emergency situations.  Acknowledgment I have received and will read this job description and fully understand that the requirements set forth therein have been determined to be essential to this position (unless otherwise noted in Column 2). I hereby accept the position of Personal Care Assistant and agree to perform the tasks outlined in this job description in a safe manner and in accordance with the facility's established procedures. I understand that as a result of my employment, I may be exposed to blood, body fluids, infectious diseases, air contaminants (including tobacco smoke), and hazardous chemicals and that the facility will provide to me instructions on how to prevent and control such exposures. I further understand that I may also be exposed to the Hepatitis B Virus and that the facility will make available to me, free of charge, the hepatitis B vaccination. I also understand I may not release/disclose protected health or facility information without proper authorization. I understand that my employment is at-will, and thereby understand that my employment may be terminated at-will either by the facility or myself, and that such termination can be made with or without notice. Date: Signature-Personal Care Assistant: Job Position Analysis Information 1 Risk Exposure to Blood/Body Fluids Column: Numbers entered into this column indicate the risk potential of your exposure to blood or body fluids. Established procedures identify the appropriate personal protective equipment that you should use when performing this task. The following numbers indicate your risk potential: 1 = It is highly likely that while performing functions assigned to this task you will be exposed to blood or body fluids. 2 = This task does not involve contact with blood and/or body fluids but while performing this task it may be necessary for you to perform a Category 1 task. 3 = This task does not involve any risk of exposure to blood or body fluids. 2 Essential Functions Column: A mark in this column indicates that you will not be required to perform this task. 3 Repetitive Motion Column: A mark in this column indicates that it will be necessary for you to perform some functions of this task repeatedly. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used. 4 Minimum Weight Lifting Requirement Column: A mark in this column indicates that it will be necessary for you to perform functions of this task that require some lifting, moving, pushing, or pulling. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used when performing this task. Minimum weight lifting requirements that you must perform are located in the "Physical and Sensory Requirements" section of this Job Description. 5 Prolonged Sitting, Standing, and  j k    ~~vhkbOJQJ hkbCJ hkbCJhkb5CJ\aJhkb5CJ\h]CJaJhkbCJaJhkb5CJOJQJ\ hkbCJ hkbCJOJQJhkb5CJOJQJ\hkbCJOJQJhkbhkb5CJOJQJ\hkb5CJ OJQJ\.fVkd$$Ifl00{r'K 0B*44 lapytB $$Ifa$gd*u $Ifgd*u yy dd$Ifgd*uykd$$Ifl00{r'K0B*44 laytB  = j yy dd$Ifgd*uykd$$Ifl00{r'K0B*44 laytBj k {{ d$Ifgd*uykdw$$Ifl00{r'K0B*44 laytB zz d$Ifgd*uykd3$$Ifl00{r'K0B*44 laytB zz d$Ifgd*uykd$$Ifl00{r'K0B*44 laytB z $$Ifa$gd*uykd$$Ifl00{r'K0B*44 laytB d$Ifgd*uikdg$$Ifl40r'B*0B*44 laf4ytB } $Ifgd]ykd$$Ifl00r'j0B*44 laytB $Ifgd*uikd$$Ifl40r'B*0B*44 laf4ytB z $$Ifa$gd*uykdS$$Ifl00r'j0B*44 laytB d$Ifgd*uikd$$Ifl40r'B*0B*44 laf4ytB } $Ifgd*uykd$$Ifl00r'j0B*44 laytB $Ifgd*uikdc $$Ifl40r'B*0B*44 laf4ytB z $$Ifa$gd*uykd $$Ifl00r'j0B*44 laytB $Ifgd*uikd $$Ifl40r'B*0B*44 laf4ytB } $Ifgd*uykdO $$Ifl00r'j0B*44 laytB  $Ifgd*uikd $$Ifl40r'B*0B*44 laf4ytB  ) >vkUF5$dx$Ifa$gd*u$d$Ifa$gd*u$ddd$If[$\$a$gd*u x$Ifgd*u$x$Ifa$gd*uykd $$Ifl00vr'F0B*44 laytB ) D W Y g q  (^h>*,.|"&*046|~ӼӼӼӼӼӼӼӼӸ hkbCJhkbCJaJhkb5CJOJQJ\hkbOJQJhkbhkb5CJOJQJ\hkbCJOJQJhkbCJOJQJhkb5CJ\hkb6CJ] hkbCJhkb5OJQJ\7*,.90 $Ifgd*ukd_ $$Ifl4Lr0vEy r'`F 40B*44 laf4ytB$d$Ifa$gd*u.02  4$d$Ifa$gd*u$ddd$If[$\$a$gd*u$d$Ifa$gd*u$qqd$If]q^qa$gd*u46kdx$$Ifl4nִ0vER@y "r' F  9X0B*    44 laf4ytB6nprtvxz|$x$Ifa$gd*u$$Ifa$gd*u|~kd$$Ifl4xִ0vER@y "r'F  9X0B*    44 laf4ytB~$$Ifa$gd*u$$Ifa$gd*ud($Ifgd*uFfN$x$Ifa$gd*u$xx$Ifa$gd*u*+,-34_x\dePQOWXWļļ򳧳ّّّ h-CJh*u5OJQJ\h*uh*uOJQJh*uCJOJQJh*u56CJ\]h*u5CJ\hBCJaJhkbCJaJhkb5CJOJQJ\h*u5CJOJQJ\ hkbCJ h*uCJhkbhkbCJOJQJ2kdL$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB+-./0123$$Ifa$gd*u$$Ifa$gd*ud($Ifgd*u34kd>$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB4$$Ifa$gd*u$$Ifa$gd*ud($Ifgd*ukd0$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB$$Ifa$gd*u$$Ifa$gd*ud($Ifgd*ukd"$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB$$Ifa$gd*u$$Ifa$gd*u d$Ifgd*ukd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB\^_`abcd$x$Ifa$gd*u$$Ifa$gd*ud$Ifgd*udekd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBefg AP $$Ifa$gd*u$d$Ifa$gd*u$$Ifa$gd*u$$Ifa$gd*u PQkd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBQ$x$Ifa$gd*u$$Ifa$gd*ud$Ifgd*ukd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBOQRSTUVW$x$Ifa$gd*u$$Ifa$gd*ud$Ifgd*uWXkd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBXY$$Ifa$gd*ud$Ifgd*uFf$x$Ifa$gd*u $Ifgd*u$$Ifa$gd*ukd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBWYZ[\]^_$x$Ifa$gd*u$$Ifa$gd*ud$Ifgd*uW_`235<>ABWXZ\]^ab57=>xy{|hBh*u5CJOJQJhBhB5CJOJQJh*uh*uCJOJQJh*u5CJOJQJ\ h*uCJh*uCJaJ h*u5\h*u5OJQJ\h*u5CJ\hB5CJOJQJ\ h-CJh-h-5CJOJQJ\0_`kd $$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB`$x$Ifa$gd*u$$Ifa$gd*ud$Ifgd*ukd!$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB3567>?@A$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uFf#$x$Ifa$gd*u$xx$Ifa$gd*uABkd%$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBB$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*ukd&$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBXZ[\^_`a$$Ifa$gdB$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uabkd'$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBb$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*ukd($$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB5789:;<=$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u=>kd)$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB>y{|}~$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*ukd*$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u@ACIJ$%  bdfƻ򳭠wmh -CJOJQJh-hBCJh-h-CJh-CJOJQJh-5CJOJQJ\h -5CJOJQJ\ h-CJh-CJaJh*u5OJQJ\h*u5CJ\h*uOJQJh*u5CJOJQJ\ h*uCJh*uCJaJh*uh*uCJOJQJ&kdt+$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBACDEFGHI$$Ifa$gd*u$$Ifa$gd*u $Ifgd*uIJkdf,$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBJ$$Ifa$gd*u$$Ifa$gd*u $Ifgd*ukdX-$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB !"#$$$Ifa$gd*u$$Ifa$gd*u ($Ifgd2Ff[/$x$Ifa$gd*u $Ifgd*u$$Ifa$gd*u$%kdU1$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB%$$Ifa$gd*u$$Ifa$gd*u ($Ifgd2kdA2$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB    $$Ifa$gd*u$$Ifa$gd*u ($Ifgd*ukd-3$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBbdefhijk$$Ifa$gdB$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*ufghkmnpqtuvwyz}| } |t|g]h -CJOJQJh -5CJOJQJ\h -CJaJ h -CJh -OJQJh -CJOJQJh -56CJ\]h -5CJ\hs)CJOJQJhs)5CJOJQJ\ hs)CJh-5CJOJQJ\ h-CJh-CJOJQJhBh-5CJOJQJhBhB5CJOJQJ$klkd4$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBlmnopqrst$$Ifa$gd*u$$Ifa$gd*u $Ifgd*utukd5$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBuvwxyz{|}$$Ifa$gd*u$$Ifa$gd*u $Ifgd*u}~kd5$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB~$$Ifa$gd*u$$Ifa$gd*u $Ifgd*ukd6$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB$$Ifa$gd*u$$Ifa$gd*u $Ifgd*ukd7$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB ! L m | $$Ifa$gd2$d$Ifa$gd2$$Ifa$gd2$$Ifa$gd2 | } kd8$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4yt2} $$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u kd9$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB b!c!e!k!l!!!!!!""" ""m"q"""""""""""4#5#7#=#>###########$ $ $$$a$b$d$j$k$$$$%%V%X%_%`%%%%%%%%%%%&&&&&h -5CJ\aJh -CJOJQJh -5CJOJQJ\h -CJaJ h -CJR $$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u kd:$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB c!e!f!g!h!i!j!k!$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uk!l!kd;$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBl!!!!!!!!!$$Ifa$gd2$$Ifa$gd2 ($Ifgd2!!kd<$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB!""" " " " " "$$Ifa$gd2$$Ifa$gd2 ($Ifgd2 ""kd=$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB"""""""""$$Ifa$gd2$$Ifa$gd2 ($Ifgd2""kd>$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB"""""""""$$Ifa$gd2$$Ifa$gd2 ($Ifgd-""kdq?$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB"5#7#8#9#:#;#<#=#$$Ifa$gd2$$Ifa$gd2 ($Ifgd2=#>#kdc@$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB>#########$$Ifa$gd2$$Ifa$gd2 ($Ifgd2##kdUA$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB#########$$Ifa$gd2$$Ifa$gd2 ($Ifgd2##kdGB$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB# $ $ $ $$$$$$$Ifa$gd2$$Ifa$gd2 ($Ifgd2$$kd9C$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB$b$d$e$f$g$h$i$j$$$Ifa$gd2$$Ifa$gd2 ($Ifgd2j$k$kd+D$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBk$$$$$%%%%$$Ifa$gd2$$Ifa$gd2 ($Ifgd2%%kdE$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB%V%X%Y%Z%\%]%^%_%$$Ifa$gd2$$Ifa$gd2 ($Ifgd2_%`%kdF$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB`%%%%%%%%%$$Ifa$gd2$$Ifa$gd2 ($Ifgd2%%kdG$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB%%%%%%%%%$$Ifa$gd2$$Ifa$gd2 ($Ifgd2%%kdG$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB%&&&&&&&&$$Ifa$gd2$$Ifa$gd2 ($Ifgd2&&kdH$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB&&&&&&&&&$$Ifa$gd2$$Ifa$gd2 ($Ifgd2&&&&&'''''C'D'F'L'M'~''''''''''((( ( (Q(R(T(Z([(((((M)N)P)V)W)X)_)`)a)))))@*A********h -OJQJh -CJOJQJh -5CJ\hB)h -5CJ\ *hB)h -5OJQJ\h -h -5CJ\h -CJaJh -CJOJQJh -5CJOJQJ\ h -CJ<&&kdI$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB&''''''''$$Ifa$gd2$$Ifa$gd2 ($Ifgd2''kdJ$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB'D'F'G'H'I'J'K'L'$$Ifa$gd2$$Ifa$gd2 $Ifgd2L'M'kdK$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBM'''''''''$$Ifa$gd2$$Ifa$gd2 ($Ifgd2''kdL$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB'''''''''$$Ifa$gd2$$Ifa$gd2 ($Ifgd2''kdM$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB'(((( ( ( ( ($$Ifa$gd2$$Ifa$gd2 ($Ifgd2 ( (kdN$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB (R(T(U(V(W(X(Y(Z($$Ifa$gd2$$Ifa$gd2 ($Ifgd2Z([(kdO$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB[((((((((($$Ifa$gd2$$Ifa$gd2 ($Ifgd2((kduP$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB(N)P)Q)R)S)T)U)V)$$Ifa$gd2$$Ifa$gd2 ($Ifgd2V)W)kdgQ$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBW)X)Y)Z)[)\)])^)_)`)a)))))))*1*@*A*FfV $$Ifa$gd2$d$Ifa$gd2 $Ifgd2FfjS$x$Ifa$gd2$$Ifa$gd2A*********$$Ifa$gd*u$$Ifa$gd2$$Ifa$gd2 ($Ifgd2**kd}X$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB*********$$Ifa$gd*u$$Ifa$gd2$$Ifa$gd2 ($Ifgd2****$+%+'+-+.+J+K+M+S+T+m+++++++++++++,,,,,,,,,,,A-B-C-D-J-K--------... . .S.T.U.\.].ʻףh -5OJQJ\h -5CJ\h -OJQJ h -5\ *hB)h -5OJQJ\ *hB)h -5CJ\h -h -CJaJ h -CJh -CJOJQJh -5CJOJQJ\<**kdoY$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB*%+'+(+)+*+++,+-+$$Ifa$gd*u$$Ifa$gd2$$Ifa$gd2 ($Ifgd2-+.+kdaZ$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB.+K+M+N+O+P+Q+R+S+$$Ifa$gd*u$$Ifa$gd2$$Ifa$gd2 ($Ifgd2S+T+kdS[$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBT+U+l+m+q+u+y+}+++++++++++++$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uFfV]$x$Ifa$gd*u $Ifgd*u$$Ifa$gd*u++kdP_$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB+++++++++$$Ifa$gd*u$$Ifa$gd*u ($Ifgd -++kdB`$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB+,,,,,,,,$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u,,kd4a$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB,,,,,,,,,$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u,,kd&b$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB,B-D-E-F-G-H-I-J-$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uJ-K-kdc$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBK---------$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u--kd d$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB----------...... . .$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uFf f$x$Ifa$gd*u$xx$Ifa$gd*u . .kdh$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB .T.V.W.X.Y.Z.[.\.$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u\.].kdh$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB]......... //Z/[/\/]/c/d/////////////)0A0t0u0v0w0}0~0000000000011516181>1?1d1e1f1g1m1n11ü۩۩۩۩۩۩۩סhqCJaJh -OJQJh -5CJ\aJ h -5\h -5OJQJ\h -5CJ\h -h -CJOJQJh -5CJOJQJ\ h -CJh -CJaJ<].........$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u..kdi$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB..........[/]/^/_/`/a/b/c/$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uFfk$x$Ifa$gd*u$xx$Ifa$gd*uc/d/kdm$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBd/////////$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u//kdn$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB/////////$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u//kdo$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB/u0w0x0y0z0{0|0}0$$Ifa$gd*u$$Ifa$gd*u ($Ifgdq}0~0kdp$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB~000000000$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u00kdq$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB000111111$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u11kdr$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB1618191:1;1<1=1>1$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u>1?1kds$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB?1e1g1h1i1j1k1l1m1$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*um1n1kdt$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBn111111111$$Ifa$gd2$$Ifa$gd2 ($Ifgdq1111112222222222222222222233333334444M4O4R4U4V444444&5'5)5/505̻ХĆĆ hqCJhqhqOJQJhqhqCJOJQJ\hqCJOJQJhq56CJ\]hq5CJ\hqCJaJhqhqOJQJhqhq5CJOJQJ\hq5CJOJQJ\hqhqCJaJ311kdxu$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq122222222$$Ifa$gd2$$Ifa$gd2 ($Ifgdq22kdjv$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq222222222$$Ifa$gd2$$Ifa$gd2 ($Ifgdq22kd\w$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq222222222$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u22kdNx$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB22222223$3@3k333 $$Ifa$gd2$d$Ifa$gd2$$Ifa$gd2$$Ifa$gd2 33kd@y$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4yt2333333333$$Ifa$gd2$$Ifa$gd2 ($Ifgdq33kd8z$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq344 4 4 4 4 44$$Ifa$gd2$$Ifa$gd2 ($Ifgd244kd*{$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq4M4O4P4Q4R4S4T4U4$$Ifa$gd2$$Ifa$gd2 ($IfgdqU4V4kd|$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytqV444444444$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u44kd}$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB4'5)5*5+5,5-5.5/5$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u/505kd~$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB05E5F5J5b5c55555555555}6~66666666666Z7[7\7]7c7d777777888 8!8'8(8k8l8m8n8t8u8ǼǼǼǼǼǼǼǼǼǼhqh&5CJOJQJ\ h&CJhqh&OJQJh&h&OJQJh&5CJOJQJ\hqh&CJaJh&CJaJ h&5\h&h&OJQJh&h&5CJOJQJ\ h&CJh&5CJ\305F5J5N5R5V5Z5^5b5c555555555$$Ifa$gd2$$Ifa$gd2 ($Ifgd2Ff$$Ifa$gd&$$Ifa$gd&$xx$Ifa$gd255kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq555555555$$Ifa$gdq$$Ifa$gd2 ($Ifgd255kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq5~66666666$$Ifa$gd2$$Ifa$gd2 ($Ifgd266kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq666666666$$Ifa$gd2$$Ifa$gd2 ($Ifgd266kdӄ$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq6[7]7^7_7`7a7b7c7$$Ifa$gd2$$Ifa$gd2 ($Ifgd2c7d7kdŅ$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytqd78!8"8#8$8%8&8'8$$Ifa$gd2$$Ifa$gd2 ($Ifgd2'8(8kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytq(8l8n8o8p8q8r8s8t8$$Ifa$gd2$$Ifa$gd2 ($Ifgdqt8u8kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytqu888888E9F9G9N9O9x9y9z999999999::::::::::::;; ;!;@;G;H;;;;;;;;;;;H<I<弴弴弩ננh&56CJ\ h&5\h&5OJQJ\h&5CJ\h&h&OJQJh&OJQJh&h&5CJOJQJ\h&h&CJaJh&h&CJOJQJh&5CJOJQJ\ h&CJh&CJaJ4u888888888$$Ifa$gd2$$Ifa$gd2 ($Ifgd288kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB8F9H9I9J9K9L9M9N9$$Ifa$gd2$$Ifa$gd2 ($Ifgd2N9O9kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBO9y9{9|9}9~9999$$Ifa$gd2$$Ifa$gd2 d$Ifgd299kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB999999999$$Ifa$gd2$$Ifa$gd2 ($Ifgd299kdq$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4yt&9:: : : : : ::$$Ifa$gd2$$Ifa$gd2 ($Ifgd2::kdc$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4yt&:::::::::$$Ifa$gd2$$Ifa$gd2 ($Ifgd2::kdU$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4yt&:;;;;;;; ;$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u ;!;kdG$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB!;@;A;B;C;D;E;F;G;H;;;;;;;;;$$Ifa$gd*u$$Ifa$gd*u $Ifgd*uFfJ$x$Ifa$gd*u$xx$Ifa$gd*u;;kdD$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB;;;;;;;;;;;;I<K<L<M<N<O<P<Q<$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uFfG$x$Ifa$gd*u $Ifgd*u$$Ifa$gd*uI<K<Q<R<S<T<Z<[<k<r<s<<<-=.=5=6============>>> > >{>|>}>>>>>>>>@?A?B?I?J?K?L?_?`?BBBBBлзhkb5CJ\aJhkbCJaJ hkbCJ hkb5CJ\ hkbCJhkbh&5CJ\aJh&CJOJQJ h&CJh&5CJ\h&CJaJh&h&OJQJh&5CJOJQJ\8Q<R<kdA$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBR<S<T<U<V<W<X<Y<Z<$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*uZ<[<kd3$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB[<k<l<m<n<o<p<q<r<s<-=/=0=1=2=3=4=5= $Ifgd*uFf6$$Ifa$gd*u$$Ifa$gd*u$xx$Ifa$gd*u5=6=kd0$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB6=========$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u==kd"$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB=========$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u==kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB=>>>>>> > >$d$Ifa$gd*u$d$Ifa$gd*u ($Ifgd*u > >kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB >|>~>>>>>>>$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u>>kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB>>>>>>>>>$$Ifa$gd*u$$Ifa$gd*u ($Ifgd*u>>kd$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytB>A?C?D?E?F?G?H?I?$$Ifa$gd*u$$Ifa$gd*u $Ifgd*uI?J?kdܠ$$Ifl4ִ0vER@y "r'F  9X0B*    44 laf4ytBJ?L?_?`???/@@@SASSSSSSSSS6T8T:TtTvT|Tػدťťhkb5CJH*\ h^CJ h)CJh)h)5CJhkb5CJ \hkb hkbCJ hkbCJhkb5CJ\ hkbCJ hkbCJaJhkb5CJ\aJ>DDDIEE4FF*GpGGGG!H"H^HHHI>JJPKHd$$If]Hgd*u d$Ifgd*u$d$Ifa$gd*u$d$Ifa$gd*u d$$Ifgd*uPK LbLcLdLeLfLgLhLiLjLkLlLmLnLzikdΡ$$Ifl4B''0'44 laf4yt*u d$$Ifgd*uCd$$If]Cgd*unL~LLBPCPQQ?Q@QAQcQdQm>$  $$d%d&d'd-DIfM NOPQ] ^ a$gd*u  us#XX$If^gd*u  u%XX$If^gd*u d$Ifgd*u$d$Ifa$gd*u $$Ifa$gd*u dQQQRR)SSS6T8TtTvT$U&U`UbU|W~WWWYY"t$t$d$Ifa$gd*u$d$Ifa$gd*u ww$If^w`gd*u|T~T$U&U(U`UbUhUjU|W~WWWWWW$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] zP Wf &*].105u8I<B|T-AH]n{ 38 j  .46|~34dePQWX_`ABab=>IJ$%kltu}~| } k!l!!! """"""=#>#####$$j$k$%%_%`%%%%%&&&&''L'M''''' ( (Z([(((V)W)A*****-+.+S+T+++++,,,,J-K--- . .\.]...c/d/////}0~00011>1?1m1n111222222333344U4V444/50555556666c7d7'8(8t8u888N9O99999:::: ;!;;;Q<R<Z<[<5=6===== > >>>>>I?J?DPKnLdQ$t./0123456789:;<=>?@BCDEFGIJKLMNOPQRSTUVWXYZ[\^_`abcdefghijklmopqrstuvwxyz|}~     !"#$%&'()*+,-./0124567<A8@0(  B S  ?|Pi$v$8%D%r7x7GGHHHH|P333333333}WW!0!0R1[1s1s1J4J4@F@FyPyP|P}WW!0!0R1[1s1s1J4J4X@l,:*@=ti@:*  xD՜.+,0 hp  Louisville Care Center)QP Personal Care Assistant Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F* ;*Data Cآ1Table%WordDocument4SummaryInformation(DocumentSummaryInformation8CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q